Basic Interpretation of an Electrocardiogram (ECG) Flashcards

1
Q

What does an ECG measure?

A
  1. Rate
  2. Rhythm
  3. Time-dependent vector of the heart
  4. Origin of cardiac action potential
  5. Conduction of cardiac action potential
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2
Q

What does the P-wave represent?

A

Atrial depolarization

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3
Q

What does the QRS complex represent?

A

Ventricular depolarization

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4
Q

What does the T wave represent?

A

Ventricular repolarization

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5
Q

Five large boxes on the ECG graph represent how much time?

A

1 second

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6
Q

What represents one full wave on an ECG?

A

1 R-R interval

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7
Q

What is the rate (beats/min) equation equal to?

A

Rate = 60 (sec/min) / R-R interval (sec/beat)

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8
Q

What is the 2nd rate equation that can also be used involving the number of boxes in each R-R interval?

A

Rate = 300 / # of boxes in each R-R interval

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9
Q

Where is the heart’s pacemaker and what is it?

A

The SA node in the right atrium

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10
Q

What happens once the SA node is activated?

A

The atria depolarize and contract. Meanwhile, the stimulus arrives at and stimulates the AV node to fire.

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11
Q

The rhythm set by the SA and AV nodes in pacing th heart is called?

A

Normal sinus rhythm.

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12
Q

What does the PR interval represent?

A

It tells us how long it takes the action potential to conduct through the AV node before activating the ventricles.

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13
Q

What does the P-wave duration tell us?

A

How long atrial depolarization takes

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14
Q

What does the duration of the QRS complex tell us?

A

How long it takes for the depolarization to spread throughout the ventricles.

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15
Q

What does the QT interval represent?

A

How long the ventricles stay depolarized. Also a measure of the ventricular action potential.

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16
Q

What happens to the QT interval as heart rate increases?

A

It gets shorter

17
Q

The normal axis of ventricular depolarization in the frontal plane lies between what 2 angles?

A

-30 degrees and +90 degrees

18
Q

What can change the axis of ventricular depolarization?

A
  1. Hypertrophy of one or both of the ventricular walls

2. Conduction blocks in one or several of the ventricular conducting pathways

19
Q

What are the 2 methods to which we can measure the axis of a wave within the frontal plane?

A
  1. Geometric method

2. Inspection method

20
Q

Which is the more accurate method in measuring the axis of a wave within the frontal plane?

A

The Geometric Method

21
Q

Which is the quicker and easier method used by clinicians in measuring the axis of a wave within the frontal plane?

A

The Inspection Method